The following forms are provided in MS Word format.  If you need these forms in a different format, please contact Mellony Bernal.

• Annual Event Summary report (annual report for anticipated or unreportable adverse events)
• Conflict of Interest disclosure statement
• Continuing Review Questionnaire (CRQ)
• Initial Review Questionnaire (IRQ)
• Project Amendment/Revision (PRAF)
• Protocol Deviation/Noncompliance report
• Unanticipated Problem/Adverse Event report 

Contact Information:

Mellony Bernal, IRB Coordinator

DHS Public Health Division

800 NE Oregon Street

Portland OR 97232

(971) 673-1221 voice

(971) 673-1299 fax

mellony.c.bernal@state.or.us